FDA Adverse Event Injury Summary report: N

PRECISION? MONTAGE? MRI

MDR report key: 23583262 · Received November 18, 2025

Report

Report Number
3006630150-2025-10517
Event Type
Injury
Date Received
November 18, 2025
Date of Event
May 13, 2025
Report Date
January 30, 2026
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729905943
PMA / PMN Number
P030017
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED IN THE PAST FEW MONTHS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-PADDLE LEADS. UPN: M365SC8216700. MODEL: SC-8216-70. SERIAL: (B)(6). BATCH: 7051867. UDI: (B)(4).

Additional Manufacturer Narrative · 0

BLOCK B3: EXACT DATE UNKNOWN, EVENT OCCURRED IN THE PAST FEW MONTHS PRIOR TO THE DATE THE MANUFACTURER BECAME AWARE. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-PADDLE LEADS, UPN: M365SC8216700, MODEL: SC-8216-70, SERIAL: (B)(6), BATCH: 7051867, UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING FREQUENT IMPLANTABLE PULSE GENERATOR (IPG) CHARGING AND HAD IMPEDANCES ON CONTACT. THE PATIENT UNDERWENT A SPINAL CORD STIMULATION (SCS) REPLACEMENT PROCEDURE. PATIENT IS DOING WELL POSTOPERATIVELY. UNABLE TO RETRIEVE EXPLANTED ITEMS PER PHYSICIAN PROTOCOL.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING FREQUENT IMPLANTABLE PULSE GENERATOR (IPG) CHARGING AND HAD IMPEDANCES ON CONTACT. THE PATIENT UNDERWENT A SPINAL CORD STIMULATION (SCS) REPLACEMENT PROCEDURE. PATIENT IS DOING WELL POSTOPERATIVELY. UNABLE TO RETRIEVE EXPLANTED ITEMS PER PHYSICIAN PROTOCOL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2326128 PRECISION? MONTAGE? MRI STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1200 364245 08714729905943

Patients

Seq Age Sex Outcome Treatment
1 54 YR Female Required Intervention